Documentos de Académico
Documentos de Profesional
Documentos de Cultura
C
CANCER CELL
INTERNATIONAL
BioMed Central
Open Access
Hypothesis
doi:10.1186/1475-2867-5-5
Abstract
Background: The necessary and sufficient capabilities of cancer cell have been identified.
Strikingly, this list does not include one that would seem to be a key property, namely the ability
of cancer cells to kill their "host". This is believed to be a self-evident consequence of the other
capabilities (e.g., metastasis), although the available evidence suggests a distinct killer function.
Taking into account this unlisted property can significantly affect the current paradigm of
carcinogenesis.
Presentation of the hypothesis: On the assumption that killer function is a key capability of the
cancer cell, it is suggested that cancer has evolved as a mechanism of negative selection of mutant
alleles of vitally important genes present in population. Similarly to apoptosis, which is an altruistic
suicidal act of a damaged cell, cancer is an altruistic suicidal act of an individual who carries
dangerous alleles and presents a hazard for genetic stability of the population. From this point of
view, apoptosis is not a protection means against cancer as generally believed, but rather they are
the first and second lines of defense against genome instability, respectively.
Testing the hypothesis: The modern DNA array technology is capable of revealing gene
expression profiles responsible for killer function of cancer cell as well as those specific targets in
the body that are most strongly affected by the tumor growth.
Implications of the hypothesis: This hypothesis suggests new avenues of cancer research as
well as principally new therapeutic strategies.
Background
We are now witnessing a post-genomic era of cancer
research. Thousands of papers are devoted to discovering
molecular mechanisms of this extremely complicated program, the latter term being understood as a prescribed
sequence of events with an inevitable result. In almost all
studies cancer is considered as a given entity with no
attempts made, to my knowledge, to search into its evolutionary origin. However, cancer almost certainly fulfills
some evolutionary tasks.
First, although cancer is usually mentioned as a representative of a large group of age-related diseases, it principally
differs from all the others. Cardiovascular diseases, diabetes, Alzheimer's disease, and many other diseases are
manifestations of the "loss-of-function" phenotype due to
degeneration and/or death of corresponding cells. Cancer,
on the contrary, is an active "gain-of-function" process.
Cancer cells acquire numerous new functions, including
the unique abilities to adapt to a changing environment
and to dodge the blows of the body's protective means, as
well as a striking capacity to recruit surrounding normal
Page 1 of 9
(page number not for citation purposes)
http://www.cancerci.com/content/5/1/5
Page 2 of 9
(page number not for citation purposes)
(a)
T
R
I
(b)
G
G
E
R
(c)
.
.
.
.
(n)
http://www.cancerci.com/content/5/1/5
m(0)
m(1)
m(2)
m(3)
.
.
.
m(n)
Page 3 of 9
(page number not for citation purposes)
http://www.cancerci.com/content/5/1/5
Page 4 of 9
(page number not for citation purposes)
k=12
a
m(1)
m(0)
1
4 x 103
k=23
b
m(2)
m(1)
m(0)
1
3.9 x 103
8.4 x 106
k=34
c
m(3)
m(2)
m(1)
m(0)
http://www.cancerci.com/content/5/1/5
m(4)
m(3)
m(2)
m(1)
m(0)
1
3.9 x 103
1.2 x 107
1.7 x 1010
k=45
1
3.9 x 103
1.4 x 107
3.1 x 1010
3.5 x 1013
k>45
Overt tumor
m(4)
m(3)
m(2)
m(1)
m(0)
Latent growth
Page 5 of 9
(page number not for citation purposes)
and "cap" are the latent and overt stages, respectively (Fig.
2).
It follows from the model of multistage carcinogenesis
[23] that in an exponentially growing tissue the number
of mutant cells is approximated by the formula
k
am
1 ku k
2 e
m! 2
ku
2 ,
k
where am
is the mean number of cells with m mutations
after k cell generations and u is the mutation rate. If we
assume that the body is composed of 3.5 1013 cells (i.e.,
245, k = 45), and u is 4 10-5 (for a single gene u is 4 107, thus if there are one hundred cancer-related genes u
becomes 4 10-5 [40]), then at the moment of appearance
in the body of the cell with 4 mutations (a tumor
founder), there will be ~3.9 103 cells with 3 mutations,
~1.4 107 cells with 2 mutations, and ~3.1 1010 cells
with 1 mutation (Fig. 2d). In other words, in the human
body one cell from every thousand (0.1%) will be
mutated at least in one of the cancer-related genes. In reality, mutation frequency should be much higher because
cell death occurs during developmental growth so that
replenishing cell divisions must increase k value significantly. This calculation, though very approximate, agrees
with experimental data [27] and can give an idea of the
magnitude of the mutation frequency (see also [28]).
They might indicate that cancer appears as mutation frequency reaches a certain security threshold. On the other
hand, this calculation showing that the human body is
flooded with mutant cells prior to tumor appearance
points to the validity of chemoprevention as an essential
approach to controlling cancer [41].
http://www.cancerci.com/content/5/1/5
While in the case of sporadic tumors the notion that cancer is a local manifestation of generalized mutagenesis is
only a more or less validated assumption, it is a truism in
the case of hereditary tumors [47]. Carcinogenesis in such
an individual has significant "odds" compared to wildtype individuals [11] because all his cells are mutant (the
trigger, in other words, has been moved one position
ahead from the very outset). The association between the
evident threat of germinal mutations to the population,
on one hand, and their extremely high cancer risk, on the
other, seems not to be by chance. The life-span risk of getting cancer for persons with germinal mutations in the
suppressor genes reaches 5080%, and their tumors,
often multiple, appear at a reproductive age [11]. Owing
to an extremely strong selection pressure, the alleles that
predispose to cancer are very rare (ca. 1:1000 or less), suggesting that the mechanism is efficient. The most convincing argument for the hypothesis that malignant tumors
have an altruistic function comes from hereditary forms of
cancer in which the association "mutant semen in a
mutant soma" is most evident. The altruism here is that
the carriers of mutant alleles die at a reproductive age. It is
germinal mutations arising in a population with a certain
frequency that could have been the driving force for cancer evolution.
Page 6 of 9
(page number not for citation purposes)
http://www.cancerci.com/content/5/1/5
Page 7 of 9
(page number not for citation purposes)
http://www.cancerci.com/content/5/1/5
when apoptosis is impossible, trigger cancer thus preventing individual-to-individual transfer of damaged alleles of
vitally important genes. From this point of view, apoptosis is not a protection means against cancer as generally
believed, but rather they are the first and second lines of
defense against genome instability, respectively.
Acknowledgements
2.
References
1.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
21.
Competing interests
26.
27.
19.
20.
22.
23.
24.
25.
28.
29.
Page 8 of 9
(page number not for citation purposes)
30.
31.
32.
33.
34.
35.
36.
37.
38.
39.
40.
41.
42.
43.
44.
45.
46.
47.
48.
49.
50.
51.
52.
53.
54.
55.
56.
57.
58.
http://www.cancerci.com/content/5/1/5
59.
BioMedcentral
Page 9 of 9
(page number not for citation purposes)